The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

Resources

FAQ
IMD
Jun 5, 2018
Per the CFR, at 42 CFR 435.1010, an Institution for Mental Diseases (IMD) is a hospital, nursing facility, or other institution of more than 16 beds that is primar
FAQ
Level II, Federal Regulations, Intellectual Disability
Jun 2, 2018
According to 42 CFR 483.102(b)(3), an individual has an intellectual disability (previously mental retardation) if he or she has:
FAQ
FFP, 75% Match
Jun 2, 2018
A Cost Allocation Plan (CAP) is a narrative description of the procedures that a state will use in identifying, measuring, and allocating costs that it incurs in supporting programs it administers or supervises.
FAQ
Dementia
Apr 27, 2018
A Level II evaluation may be halted if the person has a diagnosis solely of dementia, or a diagnosis of dementia in combination with a non-PASRR disability. However, a Level II evaluation should not be halted if a PASRR disability has not yet been ruled out.
FAQ
Mental Illness
Apr 27, 2018
According to 42 CFR 483.102(b), a disorder qualifies as a mental illness (MI) for PASRR purposes if it satisfies three major criteria:
FAQ
Record Keeping
Apr 27, 2018
The Code of Federal Regulations (CFR) provides no specific guidance related to retention of PASRR records, but it does make clear that retention of PASRR records is a requirement.  The basis of the requirement is addressed in two areas cited a 
FAQ
Other Topics
Apr 27, 2018
Although Nursing Facilities (NFs) are primarily responsible for helping individuals transition to the community, PASRR can play a vital role in helping NFs develop individualized plans of care that support successful transition.
FAQ
Level II
Apr 27, 2018
There is a common misconception about this. The simple answer is "no" -- a test of intellectual functioning (IQ test) is not required by PASRR regulations.
FAQ
Hospice
Apr 17, 2018
The Code of Federal Regulations (CFR) at §483.130(d) provides examples of categories for which the State mental health or intellectual disability authority may make
FAQ
Categorical Determinations
Apr 10, 2018
42 CFR 483.130(h) provides that the State intellectual disability authority may make categorical determinations that individuals with dementia, whi
FAQ
Swing Beds
Apr 10, 2018
A swing bed is a bed that changes (or "swings") between providing hospital services and providing Medicare or Medicaid nursing facility services.
FAQ
Level I
Apr 10, 2018
Regardless of their known diagnoses, all individuals applying to a Medicaid-certified nursing facility (NF) must undergo a Level I screen to determine if the individual possibly has a condition meeting PASRR’s definition of  mental illness, intellectual disability or a related condition.  A person...
FAQ
Level I, Level II, Timing
Mar 8, 2018
The CFR does not specify how quickly Level I's must be completed, and with good reason: There is no baseline against which to establish timing requirements.
FAQ
Specialized Services
Mar 8, 2018
The Code of Federal Regulations (CFR) is clear at §483.102 that PASRR is required for all individuals who apply to or reside in a Medicaid-licensed nursing facility
FAQ
SNF
Mar 8, 2018
Nursing facility (NF) refers to long-term care facility certified by the state survey agency (SSA) to provide services to Medicaid recipients. NFs typically provide long-term care, though they can also provide rehabilitative care to Medicaid beneficiaries following hospital discharge.
FAQ
Level I, Level II
Mar 8, 2018
All individuals applying to a Medicaid-certified nursing facility (NF) must be screened for both mental illness and intellectual disability.
FAQ
Resident Review
Mar 8, 2018
Originally, Resident Reviews—Level II post-admission evaluations—had to be conducted annually; hence, the original name of the program was Preadmission Screening and Annual Resident Review, or PASARR, which is the title that is still in the rule.
FAQ
MDS
Mar 2, 2018
While MDS captures information about a person (medical, functional, cognitive, and social) at a moment in time, it does not evaluate individuals for the presence of disabilities defined for the purposes of PASRR.
FAQ
Specialized Services
Feb 8, 2018
In order to be eligible for federal financial participation (FFP), Specialized Services must be included in the State Plan.

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